经皮椎间孔镜靶向穿刺技术治疗腰椎间盘突出症的应用进展  

Percutaneous transforaminal endoscopic discectomy for lumbar disc herniation: a literature review of the targeted puncturing technique

作　　者：黎俊[1] 瞿玉兴[2] 赵洪[2] 高益[2] 彭立波[2] 

机构地区：[1]南京中医药大学第一临床医学院,南京市210000 [2]南京中医药大学附属常州中医院骨一科,江苏省常州市213000

出　　处：《中国矫形外科杂志》2015年第21期1968-1970,共3页Orthopedic Journal of China

摘　　要：经皮椎间孔镜腰椎间盘切除术具有创伤小、恢复快、对脊柱稳定性影响小等优点。其作为治疗腰椎间盘突出症的一种治疗方式正逐渐被广大脊柱外科医师所采用。精准的穿刺定位是影响该手术疗效的重要因素之一。目前关于穿刺定位的方式有很多,其中靶向穿刺技术作为一种新型的穿刺技术正逐渐被大家所熟知。本文依照腰椎间盘突出症的各种分型(包括一些特殊类型的腰椎间盘突出症)总结出不同的穿刺方式,并简述其可能出现的并发症。Percutaneous transforaminal endoscopic discectomy（ PTED） has the advantages of small trauma,quick recovery and little influence on spinal stability. As a treatment for lumbar disc herniation（ LDH）,it is gradually used by the majority of spinal surgery specialists. There are many factors that affect the surgical treatment,and the precise location of puncture is one of the most important factors. Targeted puncturing technique is a new type of precisely puncturing technique,and is gradually known to the professional field. In this article,the different puncture ways and the possible complications for various types of LDH（ including some special types of LDH） are summarized.

关 键 词：经皮 椎间孔镜 靶向穿刺 腰椎间盘突出症 

分 类 号：R687.3[医药卫生—骨科学]